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General NPI Number Information
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NPI Number | 1528495579
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Entity Type | Individual
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Provider Name | KARA CONSTANCE COULTER PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 8600 ANDREW CARNEGIE BLVD STE 100RX
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City | CHARLOTTE
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State | NC
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Zip | 28262-8551
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Country | US
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Telephone | 980-465-7235
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Fax |
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Provider Business Mailing Address
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Address Line | 136 ESQUIRE LN
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City | MOORESVILLE
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State | NC
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Zip | 28117-7402
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Country | US
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Telephone | 724-312-6342
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03233024
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23753
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License Number State | NC
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